Wilderness Medicine, First Aid, and Outdoor Skills
Gunshot Wounds

Survive Outdoors Home
About Us
Contact Us
Disclaimer
 
REFERENCE TOPICS
Asthma
Babesiosis
Barotrauma
Bee Stings
Bicycle Safety
Boating Safety
Box Jellyfish
Bubonic Plague
Camping Safety
Catfish Sting
Chiggers
Chronic Wasting Disease
Deer Stand Injuries
Dehydration
Drowning
Edible Plants
Ehrlichiosis
Eye Injuries
Field Dressing Deer
First Aid Kits
Fractures
Frostbite
Getting Lost and Getting Found
Heat Exhaustion
Heat Stroke
Hunting Safety
Hyponatremia
Hypothermia
Ice Fishing Safety
Incubation Periods
Infectious Diarrhea
Jellyfish Stings
Lacerations
Lightning Safety
Lyme Disease
Malaria
Mosquito
Mushrooms
Poison Ivy, Oak, and Sumac
Portuguese Man of War
Psychology of Survival
Rabies Virus
Rehydration
Rocky Mountain Spotted Fever
Safe Foreign Travel
SARS
Scabies
Scorpions
Seasonal Allergies
Shark Attacks
Skiers Thumb
Snake Bites

 - Black Racer

 - Brown Snake

 - Copperhead Snake
 - Cottonmouth
 - Eastern Coral Snake
 - Fox Snake
 - Garter Snake
 - Sea Snakes
 - Timber Rattlesnake
 - Western Diamondback
Spiders
 - Baby Spiders
 - Banana Spider
 - Black Widow
 - Brown Recluse
 - Brown Widow
 - Daddy Long Legs
 - Fishing Spider
 - Forest Wolf Spider
 - Golden Rod Spider
 - Grass Spider
 - Green Lynx
 - Jumping Spider
 - Red Widow
 - Tarantula
Splinting
STARI
Stink Bugs
Sunburn
Swimmer's Ear
Tetanus
Ticks
Tornado Safety
Travel Immunizations
Trip Planning
Tularemia
West Nile Virus
Yellow Fever
 
TRAUMA PICTURES
Allergic Reactions
Amputations
Animal Attacks
Basal Cell Carcinoma
BB Gun Injury
Bee Stings
Burns
Chigger Bites
Dislocations
Eye Injury
Fish Hook Removal
Foreign Bodies
Fractures
Frostbite Pictures
Gunshot Wounds
Herpes Zoster
Hook Worm
Lacerations
Lyme Disease Rash
MRSA Infection
Poison Ivy Rash
Sea Lice Bites
Search and Rescue
Spider Bites
 - Brown Recluse Bites
Sunburn Pictures
Tendon Ruptures
US Army First Aid Manual
Fundamental Criteria for First Aid
Basic Measures for First Aid
First Aid for Special Wounds
First Aid for Fractures
First Aid for Climatic Injuries
First Aid for Bites and Stings
First Aid in Toxic Environments
First Aid for Psychological Reactions
Appendix A: First Aid Case and Kits, Dressings, and Bandages
Appendix B: Rescue and Transportation Procedures
Appendix C: Common Problems/Conditions
Appendix D: Digital Pressure
Appendix E: Decontamination Procedures
Appendix F: Glossary

Shotgun WoundExample of a gunshot wound to the right buttock and right upper leg. These are shotgun pellets that have caused no harm to bones or major arteries and do not need to be removed.


Gunshot WoundsUnfortunately in this day in age, most gunshot wounds are not hunting related at all.

This individual was shot with a 9mm. The entrance wound is at the top of the foot. The exit wound is at the bottom near the ankle. Luckily there was no bone involvement. This picture is 4 days after injury. The redness is clear evidence along with the warmth that infection is also occurring.

Gunshot Wound

Outdoor Treatment:
Gunshot Wound to Foot Treating these type of wounds, specifically of the extremities, is basic wound care.

  1. Try to calm and reassure the individual.
  2. Check for sensation and pulse distal to the wound.
  3. Irrigate irrigate irrigate!
  4. Bandage.
  5. Consider a tourniquet only if bleeding cannot be stopped by direct pressure. Make sure the tourniquet is released every 15 minutes for 5 minutes.
  6. Splint so the individual cannot move the extremity.
  7. Transport as soon as possible.

Healthcare Provider: Medical Treatment
Gunshot wounds as the one above to the foot presented to the ER or urgent care center should be treated as follows.

  1. Check for neuro-vascular deficits.
  2. X-ray.
  3. Anesthetize.
  4. Ask and check about tetanus update.
  5. Irrigate irrigate irrigate.
  6. Not advisable to close these wounds by suturing. In fact, it would be beneficial in some cases as above to pack the wound.
  7. An MRI and referral to a trauma surgeon is important to rule out tendon/muscle involvement.
  8. Antibiotic coverage is crucial with the emergence of MRSA, we cannot be too careful on our choices. This individual was placed on cephlasporin and was complient with his antibiotic and still had a cellulitis. He was given additional coverage of a Quinolone.



© 2000-2010 Jalic Inc. • All Rights Reserved • All images archived in our 'Photos' and 'Reference' sections are property of Jalic Inc., unless otherwise stated.
Use of the images is prohibited without the express written consent of Jalic Inc.
DisclaimerPrivacy Policy